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Post by erwoody on Jul 16, 2015 14:18:55 GMT -5
45yom presents with epigastric pain, severe nausea and vomiting for 14 hours. takes pepcid and aspirin.  |
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Post by kelleys1348 on Jul 16, 2015 14:34:52 GMT -5
1mm ST depression in V2-V6, clearer in the anterior leads, I would be concerned by this EKG, possible posterior infarct. -oops! yep I meant posterior Tyson  |
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Chest pain
Jul 16, 2015 15:35:59 GMT -5
via mobile
Post by tyson on Jul 16, 2015 15:35:59 GMT -5
^^^
I think you meant to say posterior infarct.
Inferior would present in ll, lll, avf
Did they take this person to Cath immediately?
With symptoms going on that long the tropOnin should've been well elevated.
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Chest pain
Jul 16, 2015 18:37:34 GMT -5
via mobile
Post by pbruss on Jul 16, 2015 18:37:34 GMT -5
Text book posterior infarct. Large r wave with St depression in 2 or more contiguous precordial leads. This case is v2-v4. I give 50-50 odds that cards cathed them right away.
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Chest pain
Jul 16, 2015 18:38:05 GMT -5
via mobile
Post by pbruss on Jul 16, 2015 18:38:05 GMT -5
By the way, welcome to the club Rob Wood. Good to have you.
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Post by kemple on Jul 18, 2015 15:04:37 GMT -5
Yes good to have another poster. The community is slowly growing.
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Post by slevittMD on Jul 18, 2015 16:52:52 GMT -5
I'm going with the above...needs cath for posterior MI. Happen to have time to grab some posterior leads? That's more than 1mm depression there!
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Post by kemple on Jul 19, 2015 15:12:58 GMT -5
I'm a big fan of posterior EKG, more for fun than necessity though.
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Post by slevittMD on Jul 19, 2015 16:00:44 GMT -5
I'm a big fan of posterior EKG, more for fun than necessity though. Agreed. I doubt I'd have them hook up the machine again if already removed, just to get the posterior or R sided. But if I'm in the room and they're hooked up, I always ask. Only takes a minute. |
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